The Part Played by Adenoidectomy in the Combined Operation of Tonsillectomy with Adenoidectomy: Second Part of a Controlled Study in Children

McKEE, W. J. E.

doi:10.1136/jech.17.3.133

Cited by 20 publications

(23 citation statements)

References 5 publications

(2 reference statements)

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“…This is due to the absence of an objective outcome measure and because the parents of children in the watchful waiting group are more likely to report sore throat or upper respiratory tract infections than parents of children in the intervention group 3 19 – 22 25. These lead to an overestimation of the intervention effect 26 27.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial

Staaij

Akker²,

Rovers³

et al. 2004

BMJ

121

133

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Section: Discussionmentioning

confidence: 99%

Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial

Staaij

Akker²,

Rovers³

et al. 2004

BMJ

121

133

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“…Results as reported by the authors in the articles were used; no attempt was made to retrieve the original data from the authors as four of six trials were performed more than 15 years ago. [15][16][17][18] The incidence of upper respiratory infections for the trials by McKee and colleagues 15 16 was calculated by adding up the episodes of cold, cough, influenzal illness, other respiratory illness, and otitis media. For the trial by Mawson and colleagues, 17 the incidence of upper respiratory infections was calculated by adding up the episodes of earache, otitis media, and head cold.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…In five trials the control group received watchful waiting or non-surgical management, and in one study adenoidectomy. 16 Mean age at inclusion varied from 6.0 to 8.1 years. In all trials except one, 16 the loss to follow up was considerable: 8% to 39%.…”

Section: Characteristics Of the Randomised Trials (Table 2)mentioning

confidence: 99%

Adenotonsillectomy for upper respiratory infections: evidence based?

Staaij

Akker²,

Heijden³

et al. 2005

Archives of Disease in Childhood

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Background: Despite high rates of (adeno)tonsillectomy for upper respiratory infections in western countries, the medical literature offers the physician little support in deciding which child might benefit from the operation. Methods: A literature search was performed to identify randomised trials and non-randomised controlled studies into the efficacy of tonsillectomy with or without adenoidectomy in children under 18 years. For the outcomes sore throat episodes, sore throat associated school absence, and upper respiratory infections, pooled estimates of the incidence rate ratios and rate differences with 95% confidence intervals were calculated, assuming a Poisson distribution. Results: Six randomised trials and seven non-randomised controlled studies on the efficacy of adenotonsillectomy in children were evaluated. For sore throat episodes data for 2483 person-years were available. The pooled risk difference was 21.2 episodes per person-year (95% CI 21.3 to 21.1). For sore throat associated school absence 1669 person-years were analysed. The pooled risk difference was 22.8 days per person-year (95% CI 23.9 to 21.6). For upper respiratory infections 1596 personyears were available. The pooled risk difference was 20.5 episodes per person-year (95% CI 20.7 to 20.3). Conclusions: All available randomised trials and non-randomised controlled studies into the efficacy of (adeno)tonsillectomy had important limitations. The frequency of sore throat episodes and upper respiratory infections reduces with time whether (adeno)tonsillectomy has been performed or not. (Adeno)tonsillectomy gives an additional, but small, reduction of sore throat episodes, days of sore throat associated school absence, and upper respiratory infections compared to watchful waiting

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“…McKee (1963a) selected a population of 413 children from referrals to an ENT clinic. His sample consisted of children for whom the operation was thought to be of equivocal value.…”

Section: Evaluative Studiesmentioning

confidence: 99%

A review of investigations into adenotonsillectomy

Venters

Bloor

1974

Journal of Epidemiology & Community Health

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SUMMARYOperations on the tonsils and adenoids are among the most commonly performed of all operations but present a wide range of problems when attempts are made to evaluate the results. This article reviews the findings of the major evaluative studies and discusses the general difficulties that confront them, particularly those that arise from failure to take into account the extensive web of social factors that precipitate a child towards operation and colour interpretation of symptomatology. It suggests that, while variations in operation rate persist on a geographic basis, variations according to social class have almost disappeared.

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The Part Played by Adenoidectomy in the Combined Operation of Tonsillectomy with Adenoidectomy: Second Part of a Controlled Study in Children

Cited by 20 publications

References 5 publications

Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial

Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial

Adenotonsillectomy for upper respiratory infections: evidence based?

A review of investigations into adenotonsillectomy

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